Universidad Peruana Cayetano Heredia
In-hospital mortality among incident hemodialysis older patients in Peru.
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| dc.contributor.author | Herrera-Añazco, Percy | |
| dc.contributor.author | Ortiz, Pedro J. | |
| dc.contributor.author | Peinado, Jesus E. | |
| dc.contributor.author | Tello, Tania | |
| dc.contributor.author | Valero, Fabiola | |
| dc.contributor.author | Hernandez, Adrian V. | |
| dc.contributor.author | Miranda, J. Jaime | |
| dc.date.accessioned | 2019-08-08T15:23:45Z | |
| dc.date.available | 2019-08-08T15:23:45Z | |
| dc.date.issued | 2019 | |
| dc.identifier.uri | https://hdl.handle.net/20.500.12866/7141 | |
| dc.description.abstract | BACKGROUND: Understanding the pattern of mortality linked to end stage renal disease (ESRD) is important given the increasing ageing population in low- and middle-income countries. METHODS: We analyzed older patients with ESRD with incident hemodialysis, from January 2012 to August 2017 in one large general hospital in Peru. Individual and health system-related variables were analyzed using Generalized Linear Models (GLM) to estimate their association with in-hospital all-cause mortality. Relative risk (RR) with their 95% confidence intervals (95% CI) were calculated. RESULTS: We evaluated 312 patients; mean age 69 years, 93.6% started hemodialysis with a transient central venous catheter, 1.7% had previous hemodialysis indication and 24.7% died during hospital stay. The mean length of stay was 16.1 days (SD 13.5). In the adjusted multivariate models, we found higher in-hospital mortality among those with encephalopathy (aRR 1.85, 95% CI 1.21-2.82 vs. without encephalopathy) and a lower in-hospital mortality among those with eGFR ≤7 mL/min (aRR 0.45, 95% CI 0.31-0.67 vs. eGFR>7 mL/min). CONCLUSIONS: There is a high in-hospital mortality among older hemodialysis patients in Peru. The presence of uremic encephalopathy was associated with higher mortality and a lower estimated glomerular filtration rate with lower mortality. | en_US |
| dc.language.iso | eng | |
| dc.publisher | Oxford University Press | |
| dc.relation.ispartofseries | International Health | |
| dc.rights | info:eu-repo/semantics/restrictedAccess | |
| dc.rights.uri | https://creativecommons.org/licenses/by-nc-nd/4.0/deed.es | |
| dc.subject | Peru | en_US |
| dc.subject | Female | en_US |
| dc.subject | Humans | en_US |
| dc.subject | Male | en_US |
| dc.subject | Peru/epidemiology | en_US |
| dc.subject | Aged | en_US |
| dc.subject | Middle Aged | en_US |
| dc.subject | Risk Factors | en_US |
| dc.subject | Aged, 80 and over | en_US |
| dc.subject | Age Distribution | en_US |
| dc.subject | epidemiology | en_US |
| dc.subject | health services | en_US |
| dc.subject | Hospital Mortality | en_US |
| dc.subject | mortality | en_US |
| dc.subject | renal dialysis | en_US |
| dc.subject | Kidney Failure, Chronic/mortality/therapy | en_US |
| dc.subject | Renal Dialysis/statistics & numerical data | en_US |
| dc.title | In-hospital mortality among incident hemodialysis older patients in Peru. | en_US |
| dc.type | info:eu-repo/semantics/article | |
| dc.identifier.doi | https://doi.org/10.1093/inthealth/ihz037 | |
| dc.subject.ocde | https://purl.org/pe-repo/ocde/ford#3.03.05 | |
| dc.relation.issn | 1876-3405 |
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